Dupin B, Meric B, Dumon J F
Baillieres Clin Gastroenterol. 1987 Oct;1(4):809-20. doi: 10.1016/0950-3528(87)90020-0.
The scope of therapeutic endoscopy, especially in the context of oesophageal dilatation, has greatly expanded in recent years. In this chapter we have described the currently used wire-guided systems and their dilatation technique. This technique can be used with most dilatation instrumentation now on the market. Perforation, the major risk of dilatation, is now rare (0.22% out of 909 dilatations with Savary-Gilliard bougies). Finally, we have presented the results of our own comparative studies for the Eder-Puestow, Savary Gilliard and Biomed systems and those of other authors for systems with which we have had no experience. In our opinion Savary-Gilliard bougies are the best, not only because of their greater flexibility and progressivity but also because of the improved safety tip of the guide wire.
近年来，治疗性内窥镜检查的范围，尤其是在食管扩张方面，有了极大的扩展。在本章中，我们描述了目前使用的导丝引导系统及其扩张技术。这种技术可与目前市场上的大多数扩张器械配合使用。穿孔是扩张的主要风险，目前已很罕见（使用Savary-Gilliard探条进行的909次扩张中穿孔率为0.22%）。最后，我们展示了我们自己对Eder-Puestow、Savary Gilliard和Biomed系统的比较研究结果，以及其他作者对我们没有使用经验的系统的研究结果。我们认为，Savary-Gilliard探条是最好的，不仅因为它们具有更大的柔韧性和渐进性，还因为导丝的安全尖端有所改进。
